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PT-10-118Inspection Number: INSP - 134208 Scheduled Inspection Date: June 16, 2010 Inspector: Bruhn, Norman Owner: CAMPOS, EVELYN Job Address: 5 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: Building Department Comments June 15, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Number: PT -1 -10 -118 Permit Type: Paint Inspection Type: Final Work Classification: Addition /Alteration Phone Number (786)457 -1325 Parcel Number 1132060130820 Paint exterior Pyramid Golden and white trim PasseW Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 3 of 20 Inspection Number: INSP - 134208 Permit Number: PT -1 -10 -118 Scheduled Inspection Date: June 16, 2010 Inspector: Bruhn, Norman Permit Type: Paint Inspection Type: Final Owner: CAMPOS, EVELYN Work Classification: Addition /Alteration Job Address: 5 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: Building Department Comments Paint exterior Pyramid Golden and white trim Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 15, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Phone Number (786)457 -1325 Parcel Number 1132060130820 Page 3 of 20 Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 5 96 Street Miami Shores, FL 33138- Owner Information Address EVELYN CAMPOS 5 96 Street MIAMI SHORES FL 33138 -2723 Type of Work: Exterior Color: yeloow /gold and white trim Additional Info: Classification: Residential Color: yeloow /gold and white trim_Approved Color: yeioow /gold and white trim_Approved_ Code Comments: BEN MOORE - WALLS - WESTMIP Color: yeloow /gold and white trim_Denied Fees Due CCF Education Surcharge Permit Fee Technology Fee Total: Amount $0.00 $0.40 $60.00 $1.60 $62.00 Authorized Signature: Owner / Applicant / PT -1 -10 -36896 $ 62.00 $ 62.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compli:ince with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the prof authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL wor :. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in com ,liance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Contractor Parcel Number 1132060130820 Block: Lot: Agent Phone (786)457 -1325 Total Amt Paid Amt Due Valuation: Total Sq Feet: Expiration: 07/25/2010 Applicant EVELYN CAMPOS CeII $ 1,500.00 0 For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: Final Febrt ary 23, 2010 Jate Building Department Copy February 23, 2010 1 g4 • BUILDING PERMIT APPLICATION FBCOOli Permit Type: PAINT PERMIT Tenant/Lessee Name 6i/Pr E -MAIL: Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # II Is Building Historically Designated YES Contractor's Company Name Contractor's Address City_ Qualifier Name State Certificate or Registration No. OWNER BUILDER: Value of Work For this Permit $ Describe Work: Miami Shores Village Building Department 10050 N.E.2nd Avenue. Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 I I Permit No. 7 " !���� Owner's Name (Fee Simple Titleholder) ,G Ye� j/p) eam Phone # 714' de—a_ Owner's Address J fE 44, 4+re -cif Cit uotYll ,(y C State tt,. Zip 33/3 I2 S A(E 4 Co CsfrGG� County Miami -Dade 010 0/3_0ez State 1,Sootoc NO XTCR O • • F . • E e Master Permit No. Phone # ft Phone '# Zip Zip Phone # Certificate of Competency No. Double Fee $ Zoning $ Total Fee Now Due $ d% RE -- EIVED JAN 2 2010 or 4 3313_ - a -a Type of Work: ❑ Addition / ❑ Alteration / (]New / D Repair /Replace Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit il and that all work will be performed to meet the standards of all laws regulating construction in this iuri9diction. I understand that a separate permit must he secured limr II ELECTRIC'AI. WORK. PLUMBING, SIGNS. WELLS. POOLS. FURNACES, BOILERS. HEATERS'; TANKS and AIR CONDITIONERS, ETC "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOB IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500. the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose pro4erty is subject to attachment. Also. a certified copy of the recorded notice of commencement must he posted at the job site for the first inspection which occurs seven (7) days aAr the building permit is issued. In the absence of such posted notice. the inspection will not he approved and a reinspeclion fee will he charged. II uxw .w *** *******Fees * *** **** * * * *** * * * ** ** ***** ***** :** * ****** Oermit Fee $\.O n .w CCF $ Technology Fee: 1 • �� 'hV raining /Education Fee $ ®•- l0 Notary $ Code Enforcement $ - . See Reverse side -* Signat Wal Is: ) NOTA Sign: Print: PAINT COLOR APPROVAL AND AGI All elements on the site must be listed and indicate the ed Directions: Please circle corresponding number to appropriate color Fascia: Drip Cap /Drip Edge: I Soffit: Roof _N Flower Bins: I 1,4 2 . 3 4 4 4 3 4 3 4 3 4 Shutters: /L� 3 4 Awnings: I 3 4 Chimney: I NIA 2 3 4 Doors and Door Jams: I Q 3 4 Garage Doors: I N11 2 3' 4 Railings: 1 N h" 2 3 Fences: Accessory Buildings nJ I/- Other: I NfI� 2 3 4 Owner or Agent EXPIRES: November 11, 2010 de Castro All brick (simulated or regular): I A_ ' 2 3 4 Stucco Banding: Ni /R1 2 3 4 Any other Stucco Features: I 01192 3 4 My Commission I3xpires: My Commission Expires: Attach color saint with name and westminster gold 200 WHITE 4-2- OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Signature 9 Contractor The foreg mg instrument was ackno iedged before me this ( 4-1 The foregoing instrument was'acknowiedged before me this day o . 20 /4) by c 1." &- '4cry4i ?i . day of . 20 . by who is personally known to Inc or who has produced e" -y' who is personally known to me or who has produced o 7 I G/ 5 0 As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: *************x** 1c sr xxx xxx xxxxxx aex xxxxxxxxxxx a4xxxxxxx xxx aexxxt ew***x xxxxxxxxxxxxxxx xxxx . APPLICATION APPROVED BY: Plans Examiner Preservation Board • Code En[iirc:ement (Revised 04/24.10'; VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE TATEMENT NAME: - . , 4 DATE: __E /,/ ADDRESS: 6 quo ‘4 -ee'7I 7 7714.- cvaces TAG er g, Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to.be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act ap your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family reaidbnce. You may also build or improve a commercial building at a cost of $25,000,00 or less. The building must be for your own use and occupancy. It may not be built for sale •or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built fot sale or lease, which is a violgtion Of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by statti law.tind by county or mu licensing ordinances. Any person working on your building who is not licensed Must work under your supervision and must be employed by you, which means that you must deduct F.L•C.A and with- holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction • must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold. title to the above property and Ijtn pimping on doing this construction Myself p o/i ed .fie✓ F O R /NT Initial 2. I understand that as an owner - builder I must abide by all zoning ordinances and building regulations in effect at the time of permit Application. Inactive permits for a period of over 180 days - will become null and void (expired) and a new permit will be required. to be Issued for reinstatement of the p ermit., Initial 3. I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial 4. I understand that the building official and inspectors 'are not there to design, alter or give advice on how to meet code – only if the structure meets the minimum code. 5. I understand that as an owner - builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contractdisputes. 6. I understand that if I compensate any person or company for work performed they are requited to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. Produced there License or 4U t- ■ Q3 � o zp�P� ' s ,r fi U /c CA �` . �p�'s y F— Initial l Initial 7. I understated' that if any person gets injured on my construction project—they are entitled to workmen's compensation.. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include ides of wages during recovery from injury. 8. I understand .that under state and local laws • I can not do . any Electrical, Plumbing, Heating, Air & Roof work on my 'property with out first obtaining • the proper permits by licensed contractors. • Initial, Was acknowledged before me this _ a _ day of , 20 VC) By C. Ai WIN 6416 who was personally known to me or who has as identification.